Iowa Admin. Code r. 657-10.29 - Schedule II-issuing multiple prescriptions
An individual prescriber may issue multiple prescriptions authorizing the patient to receive a total of up to a 90-day supply of a Schedule II controlled substance pursuant to the provisions and limitations of this rule.
(1)
Refills
prohibited. The issuance of refills for a Schedule II controlled
substance is prohibited. The use of multiple prescriptions for the dispensing
of Schedule II controlled substances, pursuant to this rule, ensures that the
prescriptions are treated as separate dispensing authorizations and not as
refills of an original prescription.
(2)
Legitimate medical
purpose. Each separate prescription issued pursuant to this rule shall
be issued for a legitimate medical purpose by an individual prescriber acting
in the usual course of the prescriber's professional practice.
(3)
Dates and instructions.
Each prescription issued pursuant to this rule shall be dated as of and
manually or electronically signed by the prescriber on the day the prescription
is issued. Each separate prescription, other than the first prescription if
that prescription is intended to be filled immediately, shall contain written
instructions indicating the earliest date on which a pharmacist may fill each
prescription.
(4)
Authorized fill date unalterable. Regardless of the provisions
of rule 657-10.30 (124), when a
prescription contains instructions from the prescriber indicating that the
prescription shall not be filled before a certain date, a pharmacist shall not
fill the prescription before that date. The pharmacist shall not contact the
prescriber for verbal authorization to fill the prescription before the fill
date originally indicated by the prescriber pursuant to this rule.
(5)
Number of prescriptions and
authorized quantity. An individual prescriber may issue for a patient
as many separate prescriptions, to be filled sequentially pursuant to this
rule, as the prescriber deems necessary to provide the patient with adequate
medical care. The cumulative effect of the filling of each of these separate
prescriptions shall result in the receipt by the patient of a quantity of the
Schedule II controlled substance not exceeding a 90-day supply.
(6)
Prescriber's discretion.
Nothing in this rule shall be construed as requiring or encouraging an
individual prescriber to issue multiple prescriptions pursuant to this rule or
to see the prescriber's patients once every 90 days when prescribing Schedule
II controlled substances. An individual prescriber shall determine, based on
sound medical judgment and in accordance with established medical standards,
how often to see patients and whether it is appropriate to issue multiple
prescriptions pursuant to this rule.
Notes
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